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ll Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00042459 Site Location: 4075 E MAIN ST Account ID: : <br /> Receivedby: EE0005642 HENRY Received Date: 10/26/2016 Print Date: 10/26/2016 2:29:14PM <br /> Assigned To: EE0005642 HENRY Assigned Date: 10/26/2016 <br /> ProoranVElement Code2546-Release/Spill Response(excluding Joint Team) <br /> Complainant <br /> <br /> <br /> Nature of complaint: <br /> CUSTOMER HAD A HOLE IN THEIR GAS TANK, RELEASED 1 -2 GALLONS OF FUEL TO THE GROUND. <br /> Complaint Mode: O Complaint Mode Codas A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 1-Internet/Email S-Sherifrs Once <br /> ------------------ ------------------------- -- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:JAMAR SERVICE Responsible Party or Property Owner:LORI TOCCOLI <br /> Site Location 4075 E MAIN RP)DBA JAMAR SERVICE <br /> STOCKTON,CA RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated V 2-4 I Inspector lD#: cl------ ------ - <br /> Send Referral to <br /> Referral Letter Sent <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Ot Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Pedormed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Referred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omplaint Reviewed b Date: L p at / <br /> 5104 rpt Al I <br />